Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly R Henriques, APRN-AGACNP

Individual provider Nurse Practitioner · NPI 1770964728

Mrs. Kimberly R Henriques, APRN-AGACNP is a Nurse Practitioner in Beverly, Massachusetts. Qualified in 2015, 11 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
11
Licensed in
MA, ME
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

85 Herrick St
Beverly, MA 01915
Phone: (978) 922-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2696 — (617) 726-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2292104 (MA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence CNP151201 (ME)
Registered Nurse Taxonomy 163W00000X · Licence RN64322 (ME)

Record details

NPI number1770964728
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-AGACNP
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Beverly